Transcript Distributed Alarm System in the Hospital based on DAKS

Distributed Alarm System in the Hospital
based on DAKS
Stand: 07/20/2011
Copyright © 2011 tetronik GmbH AEN. All Rights Reserved.
System Topology
Distributed Alarm System in the Hospital based on DAKS (Draft)
Medical
or other
device/system
Medical
or other
device/system
Medical
or other
device/system
Medical
or other
device/system
VoIP/TDM trunk; SMS
service; OAP, DSAP,
and SMTP connections
e.g. HL7
Smartphones
with integrated
'DAKS Mobile Client'
e.g. HL7
SIEMENS
Med
OPENLink
e.g. HL7
DAKS server
#1 with
process server
Wi-Fi
DAKS cluster:
one active –
one hot standby
Public
GSM/UMTS
Medical
or other
device/system
(µ)ESPA-X
connections to the
active DAKS server
e.g. HL7
Hospital's
pGSM server
Medical
or other
device/system
DAKS server
#2 with
process server
Medical
or other
device/system
Standard
GSM phones
DECT or WiFi
tags and medallions
TAP
µDAKS-Adapt
DECT
DAKS
Database
Server
DAKS Operators:
DOCS (browser-based)
and/or DAKS-TT Operator-Tools
and/or DAKS Customized Operator
DECT/WiFi
handsets
Internet
DAKS Administrator:
DOCS (browser based)
DAKS-TT Administrator-Tools
Medical
or other
device/system
Hospital's PBX
Stationary
phones
Hospital's Ethernet-LAN
Folie 2
Copyright © 2011 tetronik GmbH AEN. All Rights Reserved.
Overall Strategy
Distributed Alarm System in the Hospital based on DAKS (Draft)
 Single DAKS server or DAKS cluster (one active / one in hot-standby) for alarm control
 Hospital's LAN as basis for the data interchange between the components of the "Distributed
Alarm System"
 DAKS peripheral components for operation and administration:
•
•
•
•
•
DAKS process server (attached to every DAKS server)
DAKS database server (one per system)
DAKS-TT administrator tools (Windows PC software)
DAKS-TT operator tools (Windows PC software)
Customer-specific graphical user interfaces "DAKS Customized Operator = DCO", as an add-on to the DAKSTT Operator tools (Windows PC software)
• completely browser-based "DAKS-Operator-Control-System = DOCS"
 µ(ESPA)-X interfaces on the host side:
• directly from the medical or non-medical devices/systems
• from the medical or non-medical devices/systems with serial interfaces or contact interfaces via µDAKSAdapt converters
• from the medical or non-medical devices/systems with e.g. HL7 interfaces and a data concentrator e.g. from
Siemens Med
 VoIP trunk, TDM trunk, SMS messaging, SMTP messaging, OAP and/or DSAP connections
to the caregiver's devices (mobile or stationary):
• Telephone calls, emergency telephone conferences
• Simple messaging
• Intelligent communication with DAKS Mobile Clients (Apps for Smartphones and PCs)
Folie 3
Copyright © 2011 tetronik GmbH AEN. All Rights Reserved.
Scenario #1: Patient call via IP Nurse Call to Ascom i75
with escalation to BlackBerry via GSM/UMTS
Distributed Alarm System in the Hospital based on DAKS (Draft)
Door
Intercom
IP Nurse Call
Server
Wi-Fi AP
PATIENT CALL
Ascom
i75
W01 R22 B02
Pos
Neg
Call
Ascom
IMS
Data
ESPA-X
Data
TCP/IP LAN
Voice
Voice
Voice
TDM
VoIP
 Competent responders
(calling numbers/calling groups etc.)
 Text message indicating Ward/Room/Bed
 Assigned voice announcements
Folie 4
HiPath
Data
Data
OScAR-Pro
GSM/
UMTS
BlackBerry
Enterprise Server
BlackBerry
Copyright © 2011 tetronik GmbH AEN. All Rights Reserved.
Scenario #2: Patient call via IP Nurse Call
to an iPhone via GSM/UMTS
Distributed Alarm System in the Hospital based on DAKS (Draft)
Door
Intercom
IP Nurse Call
Server
Data
Wi-Fi AP
ESPA-X
TCP/IP LAN
Voice
Voice
OScAR-Pro
 Competent responders
(calling numbers/calling groups etc.)
 Text message indicating Ward/Room/Bed
 Assigned voice announcements
Folie 5
Data
Voice
TDM
VoIP
GSM/
UMTS
HiPath
Data
iPhone
Copyright © 2011 tetronik GmbH AEN. All Rights Reserved.
Transport Logistics Assignment from SyncroTESS
to BlackBerry via GSM/UMTS or Wi-Fi
Distributed Alarm System in the Hospital based on DAKS (Draft)
SyncroTESS
Server
assigned
TCP/IP LAN
ESPA-X
Wi-Fi
DAKS
 Dialog via text messages
in combination with soft keys
Folie 6
BlackBerry
Enterprise Server
GSM/
UMTS
BlackBerry
Copyright © 2011 tetronik GmbH AEN. All Rights Reserved.
Transmission of a Confidential Message
Including PIN Request and Text-to-Voice Translation
Distributed Alarm System in the Hospital based on DAKS (Draft)
DAKS-TT Operator-Tool with DCO
Text for TTV
TCP/IP LAN
Data
Data
GSM/
UMTS
 Text-to-speech conversion
via Text-to-Voice (TTV)
Folie 7
DAKS
BlackBerry
Enterprise Server
Voice
BlackBerry
Copyright © 2011 tetronik GmbH AEN. All Rights Reserved.
No-movement Alarm from a GMD Emergency Medallion
with Subsequent Positioning
Distributed Alarm System in the Hospital based on DAKS (Draft)
DPS-view
Wi-Fi AP
Operator Tool
GMD-22
TCP/IP LAN
 Competent responders
(calling numbers/calling groups etc.)
 Text message including
positioning result
 Assigned voice announcements
Folie 8
GSM/
UMTS
DAKS
BlackBerry
Enterprise Server
BlackBerry
Copyright © 2011 tetronik GmbH AEN. All Rights Reserved.
Typical Work Flow of a Patient Call
Using the Example of a BlackBerry Smartphone
Distributed Alarm System in the Hospital based on DAKS (Draft)
Alert next nurse
Nurse call
system
lets
ring
After talk-back to the patient
room the following options
are available:
"Store call" (hang up)
attention
signal
"Prioritize call" ('1')
"Delete call" ('#')
Patient calling
End of patient call
takes
call
"Store call"
Folie 9
Copyright © 2011 tetronik GmbH AEN. All Rights Reserved.
Emergency Alarm from an iPhone with
an Installed DMC, with Subsequent Positioning
Distributed Alarm System in the Hospital based on DAKS (Draft)
iPhone with an installed
'DAKS Mobile Client'
Wi-Fi AP
Control Center
DPS-view
TCP/IP LAN
 Competent responders
(calling numbers/calling groups etc.)
 Text message w/ positioning result
 Assigned voice announcements
Folie 10
DAKS
Copyright © 2011 tetronik GmbH AEN. All Rights Reserved.
Triggering of a Crisis Team Conference from
a BlackBerry with an Installed DMC
Distributed Alarm System in the Hospital based on DAKS (Draft)
BlackBerry with an installed
'DAKS Mobile Client'
Control Center
Wi-Fi AP
TCP/IP LAN
 Competent responders
(calling numbers/calling groups etc.)
DAKS
 Display text
 Assigned voice announcements
Folie 11
Copyright © 2011 tetronik GmbH AEN. All Rights Reserved.
ESPA-X
Modern Link-up of Host Systems to Alarm Servers
Distributed Alarm System in the Hospital based on DAKS (Draft)
e.g. eurse
call system
…
e.g. emerg.
resp. host
computer
PBX
ESPA-X
Soft
switch
ESPA-X
LAN /
WAN
Alarm
server
DECT
…
e.g. BCM
tool
ESPA-X
 XML encoded client server
interface
 broad standardized basis,
expandable on proprietary basis
Wi-Fi
 easy implementation
 with feedback evaluable
by the computer
GSM /
UMTS
 more at: http://www.espa-x.org
Folie 12
Copyright © 2011 tetronik GmbH AEN. All Rights Reserved.
The Continuously Growing ESPA-X Community
(in alphabetic order)
Distributed Alarm System in the Hospital based on DAKS (Draft)
Industry Sector
Automation Technology
Folie 13
Industry Sector
Building Technologies
Enterprise Communications
Copyright © 2011 tetronik GmbH AEN. All Rights Reserved.
Functionalities of a 'DAKS Mobile Client' (DMC)
(if supported by the device)
Distributed Alarm System in the Hospital based on DAKS (Draft)
 Notification via text messages (also complex dialogs) with accompanying variable
attention signal (regular, urgent and emergency), also during ongoing telephone calls
 Softkeys:
• for PIN inputs and instant confirmation or rejection of received tasks (closed-loop-notifications)
• to set up telephone calls (e.g. to a prepared conference)
• for dynamic links to a web page (e. g. video image or ECG details)
 Background information exchange with DAKS for presence status detection
 Campus-wide location tracking information in the Wi-Fi environment
 Automatic communication route selection
• WiFi communication  for in-house subscribers
• GSM/UMTS communication  for external subscribers
 Emergency button to set off alarm calls
 Automatic 'History' function (received messages and type of ACK)
 Additional features in preparation
Folie 14
Copyright © 2011 tetronik GmbH AEN. All Rights Reserved.
DAKS Smartphone Access (DSA):
Schematic Overview and Roadmap
Distributed Alarm System in the Hospital based on DAKS (Draft)
Ascom i62 or i75
Ascom IMS
DAKS Mobile Client (DMC)
on various terminals
OAP
DAKS Smartphone Access Protocol (DSAP)
DAKS
with DAKS Smartphone
Access Service (DSAS)
BlackBerry (RIM)
(available)
Android
(planned)
Windows mobile Microsoft Lync
(planned)
(planned)
Windows Vista / 7
(planned)
Folie 15
Apple iOS
(in review at
Apple)
Apple Mac OS
(planned)
Copyright © 2011 tetronik GmbH AEN. All Rights Reserved.